Peremia weliweli: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Nā kumu kūpono
• Pehea e hana ʻia ai ke kuhi
• Pehea e mālama ai

ʻO ka anemia Pernicious, i ʻike ʻia ʻo Addison's anemia, kahi ʻano meemia megaloblastic anemia i hoʻokumu ʻia e ka hemahema o ka huaʻai B12 (a i ʻole cobalamin) i ke kino, e alakaʻi ana i nā ʻōuli e like me ka nāwaliwali, pallor, ka luhi a me ke kani ʻana o nā lima a me nā wāwae, no ka laʻana . E aʻo hou aʻe e pili ana i ka wikamina B12.

ʻIke ʻia kēia ʻano anemia ma hope o 30 mau makahiki, akā naʻe i nā hihia o ke keiki hānai maikaʻi ʻole, no ka laʻana, aia paha kahi hemahema o kēia huaora, e hōʻike nei i ka anemia aniani maikaʻi ʻole.

Hoʻomaopopo nui ʻia ke kuhi o ka anemia anuanu ma o nā hoʻokolohua hale hōʻikeʻike, kahi e nānā ʻia ai ka hoʻohuihui o ka wikamina B12 i ka mimi. Hana pinepine ʻia ka mālama ʻana me ka hoʻohui ʻana i ka wikamina B12 a me ka waikawa folic, me ka hoʻohui ʻana i ka papaʻai olakino momona i ka wikamina B12.

Nā hōʻailona nui

Pili nā ʻōuli o ka anemia ʻinoʻino i ka nele o ka wikamina B12 i ke kino, ʻo ka mea nui:

• Nāwaliwali;
• Pallor;
• ʻEha poʻo poʻo;
• Māluhiluhi;
• Pohā;
• Alelo laumania;
• Ke kani nei i nā lima a me nā wāwae;
• Palpitations puʻuwai;
• Puʻupuʻu;
• Ka pōkole o ka hanu;
• Huhū;
• Nā lima me nā wāwae anuanu;
• ʻIke o nā ʻeha ma ke kihi o ka waha.

I nā hihia ʻoi loa o ka anemia ʻino, hiki i ka ʻōnaehana hopohopo ke hoʻopili ʻia, a hiki i nā pilikia i ka hele wāwae, ke kaumaha a me ka huikau o ka noʻonoʻo. E aʻo hou aʻe e pili ana i nā ʻōuli o ka anemia makehewa.

Nā kumu kūpono

Hoʻohālikelike ʻia ka anemia Pernicious e ka nele o ka wikamina B12 i loko o ke kino e ka lawe maikaʻi ʻole ʻia o kēia vitamona ma muli o ka hemahema o ke kumu intrinsic, kahi protein i hoʻopaʻa ʻia ka wikamina B12 e lawe ʻia e ke kino. No laila, i ka hemahema o ke kumu intrinsic hiki i ka lawe ʻia ʻana o ka wikamina B12 i hoʻohoka ʻia.

ʻO ke kumu kūpono loa o ka anemia anuanu he immunological: hiki i ka ʻōnaehana pale ʻole ke hana kūpono ʻole i ka mucosa gastric, e hoʻoulu ana i kāna atrophy a me ka mumū mau, a ʻo ka hopena e hoʻonui ʻia ai ka hū ʻana o ka hydrochloric acid e ka ʻōpū a hoʻemi i ka hana intrinsic factor, pēlā e hoʻemi ai i ka omo. o ka wikamina B12.

Ma waho aʻe o ke kumu immunological, hiki ke hoʻokumu ʻia ka anemia pīpilikia e nā hanana e like me ka maʻi celiac, homocystinuria, deficit cobalt, malnutrice o ke keiki, mālama ʻia me ka waikino paraminosalicylic a me ka malnutrice i ka wā o ka hāpai ʻana, kahi e hiki ai ke hānau ʻia ka pēpē me ka anemia kūpilikiʻi.

Pehea e hana ʻia ai ke kuhi

Hana ʻia ke kuhi o ka anemia ʻino e like me nā ʻōuli o ke kanaka a me kāna ʻano maʻamau. Eia nō naʻe, e hōʻoia i ke kuhi pono pono e hana i nā hoʻokolohua ʻē aʻe e like me ka endoscopy digestive, kahi e kuhikuhi ai i nā leona i loko o ka ʻōpū. E hoʻomaopopo pehea e hana ai i ka endoscopy.

ʻO ka hoʻokolohua hoʻokolohua e hoʻohana ai e hōʻoia i ka hōʻoia o ka anemia annicious ka hōʻike Schilling, kahi e lawelawe waha ʻia ai ka huaʻai B12 radioactive a me 2 mau hola ma hope e lawelawe ʻia kahi injection i loaʻa ka huaʻai B12 non-radioactive. Ma hope o 24 mau hola, hōʻiliʻili ʻia ka mimi a kālailai ʻia i ke keʻena hoʻokolohua. Inā loaʻa ka hoʻohaʻahaʻa haʻahaʻa o ka radioactive vitamina B12 i ka mimi, lawelawe ʻia nā mea pili me ka lāʻau B12 i ʻekolu a i ʻehiku mau lā ma hope o ka hōʻike mua. Ma hope o 24 mau lā e hōʻiliʻili ʻia ka mimi a kālailai hou ʻia a inā aia ka hoʻoponopono ʻana o ka hoʻolauleʻa o ka wikamina B12 i ka mimi, ua ʻōlelo ʻia he maikaʻi no ka anemia weliweli, no ka mea ua hāʻawi ʻia ke kino me kahi pūmua e hana ʻole ʻia. a hoʻonā i ka pilikia.

Ma waho aʻe o ka hōʻike Schilling, noi ʻia kahi helu piha o ke koko, no ka mea, he hoʻokolokolo hoʻi ia e ʻae ai i ka ʻike ʻana i ka anemia. ʻO ka helu o ke koko anemia weliweli e pili ana i nā waiwai kiʻekiʻe o CMV (Average Corpuscular Volume), ʻoiai ʻoi aku ka nui o nā hunaola ʻulaʻula, kahi hoʻemi o ka nui o nā hunaola ʻulaʻula, kahi hoʻonui o ka RDW, e hōʻike ana aia ka loli nui ma waena o ka nui o nā hunaola ʻulaʻula, o nā hoʻololi i ke ʻano o nā hunaola ʻulaʻula.

E noi ʻia paha kahi myelogram, ʻo ia ka hoʻāʻo e hōʻike ana i ka hana ʻana o ka iwi iwi, a ma ka hihia o ka anemia ʻino e hōʻike i ke alo o nā mea mua erythroid mua a makua ʻole. Eia naʻe kēia hoʻāʻo, he mea hoʻowahāwahā a ʻaʻole noi pinepine ʻia e kōkua i ke kuhi anemia. E ʻike i nā hōʻoia e hōʻoia i ka anemia.

Pehea e mālama ai

Hiki ke hana i ka mālama ʻana i ka anemia ʻino me nā injection o ka huaʻai B12 i loaʻa he 50 - 1000µg a i ʻole he papa waha i loaʻa he 1000µg o ka wikamina e like me ka ʻōlelo a ka lāʻau. Hoʻohui ʻia, koi ʻia ka hoʻohana ʻana o ka waikawa folic e pale aku i nā hopena neuronal. E aʻo hou aʻe e pili ana i ka mālama ʻana i ka anemia makehewa.

He mea nui nō hoʻi e nīnau i ke kauka meaʻai e hiki ai iā ʻoe ke alakaʻi maikaʻi aʻe i nā meaʻai e pono ai e hoʻopau ʻia i ka anemia weliweli, me ka ʻai ʻana i nā ʻulaʻula, nā hua manu a me nā tī, no ka laʻana, hōʻike mau ʻia. E ʻike i nā meaʻai e waiwai i ka wikamina B12.

E nānā i kēia wikiō aʻe a aʻo hou e pili ana i kēia ʻano anemia.